Frequency of coexistent eye diseases and cognitive impairment or dementia: a systematic review and meta-analysis.
Journal
Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
14
04
2022
accepted:
28
02
2023
revised:
20
01
2023
medline:
12
10
2023
pubmed:
17
3
2023
entrez:
16
3
2023
Statut:
ppublish
Résumé
We aim to quantify the co-existence of age-related macular degeneration (AMD), glaucoma, or diabetic retinopathy (DR) and cognitive impairment or dementia. MEDLINE, EMBASE, PsycINFO and CINAHL were searched (to June 2020). Observational studies reporting incidence or prevalence of AMD, glaucoma, or DR in people with cognitive impairment or dementia, and of cognitive impairment or dementia among people with AMD, glaucoma, or DR were included. Fifty-six studies (57 reports) were included but marked by heterogeneities in the diagnostic criteria or definitions of the diseases, study design, and case mix. Few studies reported on the incidence. Evidence was sparse but consistent in individuals with mild cognitive impairment where 7.7% glaucoma prevalence was observed. Prevalence of AMD and DR among people with cognitive impairment ranged from 3.9% to 9.4% and from 11.4% to 70.1%, respectively. Prevalence of AMD and glaucoma among people with dementia ranged from 1.4 to 53% and from 0.2% to 25.9%, respectively. Prevalence of DR among people with dementia was 11%. Prevalence of cognitive impairment in people with AMD, glaucoma, and DR ranged from 8.4% to 52.4%, 12.3% to 90.2%, and 3.9% to 77.8%, respectively, and prevalence of dementia in people with AMD, glaucoma and DR ranged from 9.9% to 62.6%, 2.5% to 3.3% and was 12.5%, respectively. Frequency of comorbid eye disease and cognitive impairment or dementia varied considerably. While more population-based estimations of the co-existence are needed, interdisciplinary collaboration might be helpful in the management of these conditions to meet healthcare needs of an ageing population. PROSPERO registration: CRD42020189484. 摘要: 目的: 我们旨在量化老年黄斑变性 (AMD) 、青光眼或糖尿病视网膜疾病合并认知障碍或痴呆情况。 方法: 本文检索了MEDLINE、EMBASE、PsycINFO和CINAHL (至2020年6月) 数据库。观察性研究报道了认知障碍或痴呆患者中AMD、青光眼或糖尿病视网膜病变 (DR) 的发病率或流行率, 以及AMD、青光眼或DR患者中认知障碍或痴呆的情况。 结果: 本文共纳入了56项研究 (57份报告), 这些研究在疾病的诊断标准或定义、研究设计和病例组合方面存在着异质性。很少研究报告发病率。虽然证据少, 但在轻度认知障碍者中的证据是连续的, 观察到7.7%的青光眼发病率。认知障碍者中AMD和DR的患病率分别为3.9%至9.4%和11.4%至70.1%。痴呆症患者中AMD和青光眼的患病率分别为1.4%至53%和0.2%至25.9%。痴呆症患者中DR的患病率为11%。 患有AMD、青光眼和DR的人中认知障碍的发病率分别为8.4%至52.4%、12.3%至90.2%和3.9%至77.8%, 患有AMD、青光眼和DR的人中痴呆症的发病率分别为9.9%至62.6%、2.5%至3.3%和12.5%。 结论: 眼病合并认知障碍或痴呆的频率差异性大。虽然需要更多基于人口的共病估计, 但跨学科合作可能有助于管理这些疾病以满足老龄化人口的医疗保健需求。.
Autres résumés
Type: Publisher
(chi)
摘要: 目的: 我们旨在量化老年黄斑变性 (AMD) 、青光眼或糖尿病视网膜疾病合并认知障碍或痴呆情况。 方法: 本文检索了MEDLINE、EMBASE、PsycINFO和CINAHL (至2020年6月) 数据库。观察性研究报道了认知障碍或痴呆患者中AMD、青光眼或糖尿病视网膜病变 (DR) 的发病率或流行率, 以及AMD、青光眼或DR患者中认知障碍或痴呆的情况。 结果: 本文共纳入了56项研究 (57份报告), 这些研究在疾病的诊断标准或定义、研究设计和病例组合方面存在着异质性。很少研究报告发病率。虽然证据少, 但在轻度认知障碍者中的证据是连续的, 观察到7.7%的青光眼发病率。认知障碍者中AMD和DR的患病率分别为3.9%至9.4%和11.4%至70.1%。痴呆症患者中AMD和青光眼的患病率分别为1.4%至53%和0.2%至25.9%。痴呆症患者中DR的患病率为11%。 患有AMD、青光眼和DR的人中认知障碍的发病率分别为8.4%至52.4%、12.3%至90.2%和3.9%至77.8%, 患有AMD、青光眼和DR的人中痴呆症的发病率分别为9.9%至62.6%、2.5%至3.3%和12.5%。 结论: 眼病合并认知障碍或痴呆的频率差异性大。虽然需要更多基于人口的共病估计, 但跨学科合作可能有助于管理这些疾病以满足老龄化人口的医疗保健需求。.
Identifiants
pubmed: 36922645
doi: 10.1038/s41433-023-02481-4
pii: 10.1038/s41433-023-02481-4
pmc: PMC10564749
doi:
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3128-3136Informations de copyright
© 2023. The Author(s).
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